title: Under pressure: preventing pressure ulcers in critically ill infants.
abstract: OBJECTIVE
  To determine whether a pressure ulcer prevention bundle was associated with a significant reduction in pressure ulcer development in infants in the pediatric intensive care unit.
  
  
  METHODS
  Quasi-experimental design involving 399 infants 0 to 3 months of age at a large tertiary care medical center.
  
  
  RESULTS
  The implementation of the care bundle was associated with a significant drop in pressure ulcer incidence from 18.8 to 6.8%.
  
  
  CONCLUSIONS
  Pressure ulcers can be prevented in the most vulnerable patients with the consistent implementation of evidence-based interventions and system supports to assist nurses with the change in practice.
authors.affiliation: Division of Critical Care, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
authors.forename: Christine A
authors.initials: CA
authors.lastname: Schindler
authors.forename: Theresa A
authors.initials: TA
authors.lastname: Mikhailov
authors.forename: Susan E
authors.initials: SE
authors.lastname: Cashin
authors.forename: Shelly
authors.initials: S
authors.lastname: Malin
authors.forename: Melissa
authors.initials: M
authors.lastname: Christensen
authors.forename: Jill M
authors.initials: JM
authors.lastname: Winters
mesh_terms: D000046:Academic Medical Centers; D016022:Case-Control Studies; D016638:Critical Illness / Q000628:therapy; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015278:Intensive Care Units, Pediatric; D007902:Length of Stay; D008297:Male; D024802:Nurse's Role; D010348:Patient Care Team / Q000458:organization & administration; D056888:Patient Positioning / Q000379:methods; D003668:Pressure Ulcer / Q000451:nursing* / Q000517:prevention & control* / Q000628:therapy; D011322:Primary Prevention / Q000458:organization & administration*; D015397:Program Evaluation; D012016:Reference Values; D018570:Risk Assessment; D012720:Severity of Illness Index; D017592:Skin Care / Q000379:methods*; D016896:Treatment Outcome
keywords: Pediatric; pressure ulcer; prevention